| NPI | 1710187224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology Pediatric Dermatology (Licence: SC 37328) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190407) |
| 207N00000X Dermatology (Licence: SC 37328) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-10-22 |